NUR2648 Professional Nursing Skills !I Calculation Competency Validation ANSWER KEY 1. The nurse cares for a client in a long-term care facility. Nurse's Notes The nurse in the long-term care facility is caring for a client who suffered a cerebrovascular accident 3 years ago. The client has a gastrostomy tube and receives bolus feedings. The client is also receiving treatment for a urinary tract infection. Intake and Output 0700 Jevity 1.2 175 mL bolus feeding 30 mL of sterile water flush before and after feeding 0900 Jevity 1.2 175 mL bolus feeding 30 mL of sterile water flush before and after feeding Ertapenem 1 G/50 mL normal saline over 30 minutes 1100 Jevity 1.2 175 mL bolus feeding . 30 mL of sterile water flush before and after feeding 1300 Jevity 1.2 175 mL bolus feeding 30 mL of sterile water flush before and after feeding Calculate the client's intake for the 0700-1500 shift. Record the answer as a whole number. to level nidoloom Answer: 990 ML Rationale: 30 mL water before AND after feeding = 60 ml water each feeding. 175 mL Jevity + 60 mL water + 175 mL Jevity + 60 mL water + 50 mL ertapenem + 175 mL Jevity + 60 mL water + 175 mL Jevity + 60 mL water =990 mL 2. The nurse cares for a client on the medical-surgical floor. Nurse's Notes The nurse on the medical-surgical unit is caring for a client receiving enteral nutrition. The client is awake but not oriented to place. The lungs sound clear in all fields. The bowel sounds active in all four quadrants. The client recently had a percutaneous gastrostomy tube placed secondary to complications of Parkinson's Disease. The clien is also receiving treatment for pneumonia. Intake and Output 0700-1500 Jevity 1.2 175 mL/hr continuous feeding . Normal saline continuous infusion at 100 mL/hr